scholarly journals Socioeconomic status trajectories and health in China

2019 ◽  
Author(s):  
Ning Wei ◽  
Lülin Zhou ◽  
Wenhao Huang

Abstract Background: After 40 years of reform and opening-up, China's social and economic conditions have undergone tremendous changes. For individuals who have experienced this historical period, the socioeconomic transition has brought different effects on their health status. This research examines the issue and provides evidence that government policies need to be improved. Methods: This study adopted data from the 2015 China Health and Retirement Longitudinal Study (CHARLS). We set the education level, occupation, and family income during old age as the socioeconomic status for the early, middle, and late stages of life. Based on specific criteria, we classified the population as disadvantaged and advantaged, considering eight changing trajectories of socioeconomic status. We used multiple regression analysis to examine how the eight trajectories affect individuals' physical and mental health. Results: After controlling for social demography and health behavior variables, we found that compared with those in the advantaged group long term, people who were in the disadvantaged group suffered from a significantly negative impact of their socioeconomic status on physical and mental health. The health status of those who moved upward in socioeconomic status was substantially better than those who remained in the same status. Conclusion: This study confirms that early disadvantaged socioeconomic status has a long-term adverse effect on health. However, the negative impact can be mitigated by improving one’s occupation during middle age or family income during old age throughout China's socioeconomic transitions. Therefore, increasing upward social mobility at any stage helps eliminate health inequalities.

Author(s):  
Robert Brackbill ◽  
Howard Alper ◽  
Patricia Frazier ◽  
Lisa Gargano ◽  
Melanie Jacobson ◽  
...  

Fifteen years after the disaster, the World Trade Center Health Registry (Registry) conducted The Health and Quality of Life Survey (HQoL) assessing physical and mental health status among those who reported sustaining an injury on 11 September 2001 compared with non-injured persons. Summary scores derived from the Short Form-12 served as study outcomes. United States (US) population estimates on the Physical Component Score (PCS-12) and Mental Component Score (MCS-12) were compared with scores from the HQoL and were stratified by Post-traumatic Stress Disorder (PTSD) and injury status. Linear regression models were used to estimate the association between both injury severity and PTSD and PCS-12 and MCS-12 scores. Level of injury severity and PTSD history significantly predicted poorer physical health (mean PCS-12). There was no significant difference between injury severity level and mental health (mean MCS-12). Controlling for other factors, having PTSD symptoms after 9/11 predicted a nearly 10-point difference in mean MCS-12 compared with never having PTSD. Injury severity and PTSD showed additive effects on physical and mental health status. Injury on 9/11 and a PTSD history were each associated with long-term decrements in physical health status. Injury did not predict long-term decrements in one’s mental health status. Although it is unknown whether physical wounds of the injury healed, our results suggest that traumatic injuries appear to have a lasting negative effect on perceived physical functioning.


2005 ◽  
Vol 53 (12) ◽  
pp. 2145-2152 ◽  
Author(s):  
Nancy L. Keating ◽  
Marie Nørredam ◽  
Mary Beth Landrum ◽  
Haiden A. Huskamp ◽  
Ellen Meara

2006 ◽  
Vol 24 (6) ◽  
pp. 559-569 ◽  
Author(s):  
Jarmo Hahl ◽  
Helena H??m??l??inen ◽  
Tuula Simell ◽  
Olli Simell

2021 ◽  
Author(s):  
Yunfan Zhang ◽  
Dai Su ◽  
Yingchun Chen ◽  
Min Tan ◽  
Xinlin Chen

Abstract Background: Many studies have shown that socioeconomic status and social participation are important factors affecting the health status of the elderly. However, the specific mechanism and path are unclear. This research aimed to investigate the mediating effect of social participation on the association between the socioeconomic status and the health status of the elderly.Methods: A total of 2018 waves of the Chinese Longitudinal Healthy Longevity Survey were obtained, including 10 197 elderly people over 65 years old. Bootstrap method was adopted to examine the mediating effect of social participation on the relationship of the socioeconomic status with the physical and mental health of the elderly. Socioeconomic status included three dimensions: income, education level, and main occupation before retirement. The physical and mental health of the elderly were measured with the Instrumental Activities of Daily Living Scale (IADL) and the Minimum Mental State Examination (MMSE). The social participation of the elderly was the mediator variable, including group exercise and organised social activities. Results: The average scores of IADL and MMSE were 17.98 and 23.04, respectively. Group-exercise participation had a mediating effect between socioeconomic status and physical health of the elderly, and the highest proportion of the mediating effect of each subdimension was 62.84% (95% CI = 0.165, 0.285). The highest proportion of the mediating effect of group-exercise participation on the mental-health status of the elderly was 16.70% (95% CI = 0.072, 0.153). The mediating effect of interacting with friends between the socioeconomic status and the physical health of the elderly was 30.69% (95% CI = 0.037, 0.196) in each subdimension and 15.46% (95% CI = 0.012, 0.169) in mental health. Participation in organised social activities had a mediating effect only between the socioeconomic status and the physical health of the elderly, and the highest proportion of the mediating effect in each dimension was 13.97% (95% CI = 0.014, 0.088).Conclusion: The socioeconomic status of the elderly plays a mediating role in the process of influencing the physical and mental health of the elderly by participating in group exercise and organised social activities, as well as actively interacting with friends. It can significantly adjust the adverse effects of a disadvantaged socioeconomic status on improvements in physical and mental health to achieve better health outcomes.


2018 ◽  
Vol 29 ◽  
pp. viii624-viii625
Author(s):  
A. Gallego Martínez ◽  
B. Martínez ◽  
I. Ghanem ◽  
E. Espinosa ◽  
B. Castelo ◽  
...  

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e044463
Author(s):  
Danielle Borg ◽  
Kym Rae ◽  
Corrine Fiveash ◽  
Johanna Schagen ◽  
Janelle James-McAlpine ◽  
...  

IntroductionThe perinatal–postnatal family environment is associated with childhood outcomes including impacts on physical and mental health and educational attainment. Family longitudinal cohort studies collect in-depth data that can capture the influence of an era on family lifestyle, mental health, chronic disease, education and financial stability to enable identification of gaps in society and provide the evidence for changes in government in policy and practice.Methods and analysisThe Queensland Family Cohort (QFC) is a prospective, observational, longitudinal study that will recruit 12 500 pregnant families across the state of Queensland (QLD), Australia and intends to follow-up families and children for three decades. To identify the immediate and future health requirements of the QLD population; pregnant participants and their partners will be enrolled by 24 weeks of gestation and followed up at 24, 28 and 36 weeks of gestation, during delivery, on-ward, 6 weeks postpartum and then every 12 months where questionnaires, biological samples and physical measures will be collected from parents and children. To examine the impact of environmental exposures on families, data related to environmental pollution, household pollution and employment exposures will be linked to pregnancy and health outcomes. Where feasible, data linkage of state and federal government databases will be used to follow the participants long term. Biological samples will be stored long term for future discoveries of biomarkers of health and disease.Ethics and disseminationEthical approval has been obtained from the Mater Research Ethics (HREC/16/MHS/113). Findings will be reported to (1) QFC participating families; (2) funding bodies, institutes and hospitals supporting the QFC; (3) federal, state and local governments to inform policy; (4) presented at local, national and international conferences and (5) disseminated by peer-review publications.


Work ◽  
2021 ◽  
pp. 1-11
Author(s):  
Yan Xu ◽  
Wantian Cui

BACKGROUND: China’s atmospheric PM2.5 pollution is serious, and PM2.5 exerts a negative impact on the human respiratory system, cardiovascular, and mental health, and even more serious health risk for the elderly with weak immunity. OBJECTIVE: This work aims to analyse the impacts of PM2.5 microenvironment exposure on the health of the elderly and provide corresponding countermeasures. METHODS: The survey subjects are 118 retired elderly people in the community. PM2.5 exposure concentrations are monitored in summer (June 10 ∼ July 10, 2019) and winter (November 25 ∼ December 25, 2019). RESULTS: The exposure concentration in winter is higher than that in summer, with statistical difference (P <  0.05). Under the impact of PM2.5 microenvironment exposure, smoking in the elderly can increase the concentration of PM2.5, and long-term exposure to PM2.5 in the elderly can cause mental health problems. CONCLUSION: Long-term exposure of the elderly to the PM2.5 microenvironment leads to physical diseases and even psychological problems, which requires attention.


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